Spot-on formulations for combating parasites

ABSTRACT

In particular this invention provides for spot-on compositions for the treatment or prophylaxis of parasite infestations in mammals or birds which comprise: 
     (1) a composition comprising 
     (A) an effective amount of a 1-phenylpyrazole derivative; and/or 
     (B) an effective amount of a macrocyclic lactone antihelmintic or antiparasitic agent; 
     (2) an acceptable liquid carrier vehicle; and 
     (3) optionally, a crystallization inhibitor. 
     The invention also provides for a method of treating parasitic infestations or for the prophylaxis of parasite infestations in mammals or birds which comprises topically applying to said mammal treating parasitic infestations or for the prophylaxis of parasite infestations in mammals or birds which comprises topically applying to said mammal or bird an effective amount of a composition according to the present invention.

RELATED APPLICATIONS

This application is a continuation-in-part of application U.S. Ser. No. 09/271,470, filed Mar. 17, 1999, now pending which in turn is a continuation-in-part of copending International Application PCT/FR97/01548 having an international filing date of Sep. 15, 1997, and designating the U.S. and claiming priority from French Application No. 96/11446, filed Sep. 19, 1996. Reference is also made to: U.S. applications Ser. No. 08/719,942, filed Sep. 25, 1996, 08/692,430, filed Aug. 5, 1996, Ser. No. 08/863,182, filed May 27, 1997, Ser. No. 08/692,113, filed Aug. 5, 1996, Ser. No. 08/863,392, filed May 27, 1997, and Ser. No. 08/891,047, filed Jul. 10, 1997; French Application No. 97 03709, filed Mar. 26, 1997; and PCT/FR98/00601. All of the above-mentioned applications, as well as all documents cited herein and documents referenced or cited in documents cited herein, are hereby incorporated herein by reference.

FIELD OF THE INVENTION

This invention relates to spot-on formulations for combating parasites in birds and mammals. In particular, this invention provides for spot-on formulations comprising a composition comprising a 1-N-phenylpyrazole derivative and/or a macrolide anthelmintic or antiparasitic agent, and a pharmaceutically or veterinary acceptable liquid carrier vehicle. This invention also provides for to an improved method for eradicating, controlling, and preventing parasite infestation in birds and mammals.

BACKGROUND OF THE INVENTION

Animals such as mammals and birds are often susceptible to parasite infestations. These parasites may be ectoparasites, such as insects, and endoparasites such as filariae and worms.

Domesticated animal, such as cats and dogs, are often infested with one or more of the following ectoparasites:

cat and dog fleas (Ctenocephalides felis, Ctenocephalides sp. and the like),

ticks (Rhipicephalus sp., Ixodes sp., Dermacentor sp., Amblyoma sp. and the like), and

galls (Demodex sp., Sarcoptes sp., Otodectes sp. and the like).

Fleas are a particular problem because not only do they adversely affect the health of the animal or human, but they also cause a great deal of psychological stress. Moreover, fleas are also vectors of pathogenic agents in animals, such as dog tapeworm (Dipylidium caninum), and humans.

Similarly, ticks are also harmful to the physical and psychological health of the animal or human. However, the most serious problem associated with ticks is that they are the vector of pathogenic agents, agents which cause diseases in both humans and animal. Major diseases which are caused by ticks include borrelioses (Lyme disease caused by Borrelia burgdorferi), babesioses (or piroplasmoses caused by Babesia sp.) and rickettsioses (also known as Rocky Mountain spotted fever). Ticks also release toxins which cause inflammation or paralysis in the host. Occasionally, these toxins are fatal to the host.

Moreover, galls are particularly difficult to combat since there are very few active substances which act on these parasites and they require frequent treatment.

Likewise, farm animals are also susceptible to parasite infestations. For example, cattle are affected by a large number of parasites. A parasite which is very prevalent among farm animals is a tick genus Boophilus, especially those of the species microplus (cattle tick), decoloratus and anulatus. Ticks, such as Boophilus microplus, are particularly difficult to control because they live in the pasture where the farm animals graze. Other important parasites of cattle and sheep are listed as follows in order of decreasing importance:

myiases such as Dermatobia hominis (known as Berne in Brazil) and Cochlyomia hominivorax (greenbottle); sheep myiases such as Lucilia sericata, Lucilia cuprina (known as blowfly strike in Australia, New Zealand and South Africa). These are flies whose larva constitutes the animal parasite;

flies proper, namely those whose adult constitutes the parasite, such as Haematobia irritans (horn fly);

lice such as Linognathus vitulorum, etc.; and

galls such as Sarcoptes scabiei and Psoroptes ovis.

The above list is not exhaustive and other ectoparasites are well known in the art to be harmful to animals and humans. These include, for example migrating dipterous larvae.

Animals and humans also suffer from endoparasitical infections including, for example, helminthiasis which is most frequently caused by a group of parasitic worms described as nematodes or roundworms. These parasites cause severe economic losses in pigs, sheep, horses, and cattle as well as affecting domestic animals and poultry. Other parasites which occur in the gastrointestinal tract of animals and humans include Ancylostoma, Anecator, Ascaris, Strongyloides, Trichinella, Capillaria, Roxocara, Toxascaris, Trichiris, Enterobius and parasites which are found in the blood or other tissues and organs such as filarial worms and the extra intestinal stages of Strogyloides, Toxocara and Trichinella.

Many insecticides exist in the art for treating parasites. These insecticides vary in their effectiveness to a particular parasite as well as their cost. However the results of these insecticides is not always satisfactory because of, for example, the development of resistance by the parasite to the therapeutic agent, as is the case, for example, with carbamates, organophosphorus compounds and pyrethroids. Moreover, there is at the present time no truly effective method for controlling both ticks and helminths and less still an effective way of controlling the set of parasites indicated above. Thus, there is a need in the art for more effective antiparasitic formulation treatment and protection of animal and birds for a wide range of parasites. Moreover, there is a need in the art for antiparasitic formulation which is easy to use on any type of domestic animal, irrespective of its size and the nature of its coat and which do not need to be sprinkled over the entire body of the mammal or bird.

A new family of insecticides based on 1-N-phenylpyrazoles is described in Patents EP-A-295,217 and EP-A-352,944. The compounds of the families defined in these patents are extremely active and one of these compounds, 1-[2,6-Cl₂-4-CF₃ phenyl]-3-CN-4-[SO—CF₃]-5-NH₂ pyrazole, or fipronil, is particularly effective, not only against crop parasites but also against ectoparasites of mammals and birds. Fipronil is particularly, but not exclusively, effective against fleas and ticks.

Endectocidal compounds, which exhibit a degree of activity against a wide range endoparasites, are known in the art. These compounds possess a macrocyclic lactone ring and are known in the art to be particularly effective against ectoparasites, including lice, blowflies, mites, migrating dipterous larvae, and ticks, as well as endoparasites, such as nematodes and roundworms. Compounds of this group include avermectins, milbemycins, and derivatives of these compounds, for example, ivermectin. Such substances are described, for example, in U.S. Pat. Nos. 3,950,360 and 4,199,569.

While it is known in the art that it is sometimes possible to combine various parasiticides in order to broaden the antiparasitical spectrum, it is not possible to predict, a priori, which combinations will work for a particular animal or disease state. For this reason, the results of various combinations is not always successful and there is a need in the art for more effective formulations which may be easily administered to the animal. The effectiveness of formulations comprising 1-N-phenylpyrazole derivatives and macrolide lactone anthelmintic or parasitic agents, such as avermectins, ivermectins and milbemycin, against an endoparasite or an ectoparasite in a specific host is especially difficult to predict because of the numerous and complex host-parasite interactions.

Patent application AU-A-16 427/95 very broadly mentions the combination of a substituted 1-N-pyrazole derivatives with an avermectin, ivermectin or moxidectin in a discussion involving among a very large number of insecticides or parasiticides of various types, including fipronil. However, this patent application does not provide specific guidance to the skilled artisan on how to formulate a 1-N-pyrazole derivative with an avermectin or milbemycin type compound, let alone how to formulate a spot-on composition comprising these compounds. Moreover, the application does not indicate which specific parasites are susceptible to what specific combination.

Various methods of formulating antiparasitical formulations are known in the art. These include oral formulations, baits, dietary supplements, powders, shampoos, etc. Formulations for localized topical applications of antiparasitical formulations are also known in the art. For example, pour-on solutions comprising 1-N-phenylpyrazoles, such as fipronil, are known in the art and are described in copending application Ser. No. 08/933,016, herein incorporated by reference. Other methods of formulating antiparasitic agents include spot-on formulations.

Spot-on formulations are well known techniques for topically delivering an antiparasitic agent to a limited area of the host. For example, U.S. Pat. No. 5,045,536 describes such formulations for ectoparasites. Moreover, it is generally known in the art to formulate avermectin and milbemycin derivatives as spot-on formulations. See, e.g. U.S. Pat. No. 5,045,536; EP 677,054; U.S. Pat. No. 5,733,877; U.S. Pat. No. 5,677,332; U.S. Pat. No. 5,556,868; and U.S. Pat. No. 5,723,488. However, as discussed in U.S. Pat. No. 5,045,536, a large number of solvent systems described in the art provide formulations for localized topical application which cause irritancy or toxicity to the host. Hence, there is a need in the art both for more effect and less irritant or toxic formulations. Thus, there is a need in the art for a spot-on formulation which is effect against a wide range of endoparasites and ectoparasites in birds and mammals.

SUMMARY OF THE INVENTION

The invention provides for spot-on formulations for the treatment or prophylaxis of parasites of mammals and birds, and in particular, cats, dogs, horses, chickens, sheep and cattle with the aim of ridding these hosts of all the parasites commonly encountered by birds and mammals. The invention also provides for effective and lasting destruction of ectoparasites, such as fleas, ticks, itch mites and lice, and of endoparasites, nematodes, such as filariae, and roundworms of the digestive tract of animals and humans.

In particular this invention provides for spot-on formulations for the treatment or prophylaxis of parasite infestations in mammals or birds which comprise:

(1) a composition comprising

(A) an effective amount of a 1-N-phenylpyrazole derivative; and/or

(B) an effective amount of a macrocyclic lactone antihelmintic or antiparasitic agent;

(2) a pharmaceutically or veterinary liquid carrier vehicle; and

(3) optionally, a crystallization inhibitor.

The invention also provides for an easy method of treating parasitic infestations or for the prophylaxis of parasite infestations in mammals or birds which comprises topically applying to said mammal or bird an effective amount of a formulation according to the present invention.

This invention also provides for spot-on formulations comprising a combination comprising a compound of formula (I) and a macrocyclic lactone which exhibit synergistic activity against parasites when compared to formulations which contain only one class of therapeutic agent.

This invention further provides for formulations which, when applied locally, will diffuse over the entire body of the host and then dry, without crystallizing, and which do not affect the appearance of the coat after drying by, for example, leaving crystals or making the coat sticky. This has the further advantage in animals which groom themselves of not being orally ingested, where the therapeutic agent might not be well tolerated orally or might interact with other therapeutic agents.

The very high effectiveness of the method and of the formulations according to the invention provides not only for a high instantaneous effectiveness but also for an effectiveness of very long duration after the treatment of the animal.

These and other embodiments are disclosed or are obvious from and encompassed by, the following Detailed Description.

DETAILED DESCRIPTION

This invention provides for a spot-on formulation for the treatment and prophylaxis of parasite infestation in mammals or birds which comprises

(1) a composition comprising

(A) an effective amount of at least one compound of the formula

 in which:

R₁ is a halogen atom, CN or methyl;

R₂ is S(O)_(n)R₃ or 4,5-dicyanoimidazol-2-yl or haloalkyl;

R₃ is alkyl or haloalkyl;

R₄ represents a hydrogen or halogen atom or an NR₅R₆, S(O)_(m)R₇, C(O)R₇ or C(O)OR₇, alkyl, haloalkyl or O₈ radical or an —N═C (R₉) (R₁₀) radical;

R₅ and R₆ independently represent a hydrogen atom or an alkyl, haloalkyl, C(O)alkyl, S(O)_(r)CF₃ or alkoxycarbonyl radical or R₅ and R₆ can together form a divalent alkylene radical which is optionally interrupted by one or two divalent heteroatoms;

R₇ represents an alkyl or haloalkyl radical;

R₈ represents an alkyl or haloalkyl radical or a hydrogen atom;

R₉ represents an alkyl radical or a hydrogen atom;

R₁₀ represents an optionally substituted aryl or an optionally substituted heteroaryl group;

R₁₁ and R₁₂ represent, independently of one another, hydrogen, halogen CN or NO₂;

R₁₃ represents a halogen atom or a haloalkyl, haloalkoxy, S(O)_(q)CF₃ or SF₅ group;

m, n, q and r represent, independently of one another, an integer equal to 0, 1 or 2;

X represents a trivalent nitrogen atom or a C-R₁₂ radical, the three other valencies of the carbon atom forming part of the aromatic ring;

 with the proviso that, when R₁ is methyl, then either R₃ is haloalkyl, R₄ is NH₂, R₁₁ is Cl, R₁₃ is CF₃ and X is N or else R₂ is 4,5-dicyanoimidazol-2-yl, R₄ is Cl, R₁₁ is Cl, R₁₃ is CF₃ and X is C—Cl; and/or

(B) a pharmaceutical or veterinary effective amount of a macrocyclic lactone antihelmintic or antiparasitic agent;

(2) a pharmaceutically or veterinary acceptable liquid carrier vehicle; and

(3) optionally, a crystallization inhibitor

More preferably, this invention provides for a spot-on formulation which comprises:

(1) a composition comprising

(A) an effective amount of a compound of formula (I) wherein

R₁ is a halogen atom, CN or methyl;

R₂ is S(O)_(n)R₃ or 4,5-dicyanoimidazol-2-yl or haloalkyl;

R₃ is C₁-C₆-alkyl or C₁-C₆-haloalkyl;

R₄ represents a hydrogen or halogen atom; or a radical NR₅R₆, S(O)_(m)R₇, C(O)R₇ or C(O)OR₇, allyl, haloalkyl or OR₈ or a radical —N═C(R₉)(R₁₀);

R₅ and R₆ independently represent a hydrogen atom or a C₁-C₆-alkyl, C₁-C₆-haloalkyl, C(O)C₁-C₆-alkyl, S(O)_(r)CF₃, C₁-C₆-acyl or C₁-C₆-alkoxycarbonyl radical; or R₅ and R₆ may together form a divalent alkylene radical which may be interrupted by one or two divalent hetero atoms selected from the group consisting of oxygen or sulphur;

R₇ represents a C₁-C₆-alkyl or C₁-C₆-haloalkyl radical;

R₈ represents a C₁-C₆-alkyl or C₁-C₆-haloalkyl radical or a hydrogen atom;

R₉ represents a C₁-C₆-alkyl radical or a hydrogen atom;

R₁₀ represents an optionally substituted phenyl or optionally substituted heteroaryl group wherein the substituents are selected from the group consisting of halogen, OH, —O-C₁-C₆-alkyl, —S—C₁-C₆-alkyl, cyano or C₁-C₆-alkyl;

R₁₁ and R₁₂, independently of one another represent hydrogen, halogen, CN or NO₂;

R₁₃ represents a halogen, C₁-C₆-haloalkyl, C₁-C₆-haloalkoxy, S(O)_(q)Cl₃ or SF₅ group, and/or

(B) an effective amount of a macrocyclic lactone selected from the group consisting of avermectins, ivermectin, abamectin, doramectin, moxidectin, selamectin, milbemycins and their derivatives;

(2) the liquid carrier vehicle comprises a solvent and a cosolvent wherein the solvent is selected from the group consisting of acetone, acetonitrile, benzyl alcohol, butyl diglycol, dimethylacetamide, dimethylformamide, dipropylene glycol n-butyl ether, ethanol, isopropanol, methanol, ethylene glycol monoethyl ether, ethylene glycol monomethyl ether, monomethylacetamide, dipropylene glycol monomethyl ether, liquid polyoxyethylene glycols, propylene glycol, 2-pyrrolidone, in particular N-methylpyrrolidone, diethylene glycol monoethyl ether, ethylene glycol, diethyl phthalate fatty acid esters, such as the diethyl ester or diisobutyl adipate, and a mixture of at least two of these solvents and the cosolvent is selected from the group consisting of absolute ethanol, isopropanol or methanol.

(3) a crystallization inhibitor selected from the group consisting of an anionic surfactant, a cationic surfactant, a non-ionic surfactant, an amine salt, an amphoteric surfactant or polyvinylpyrrolidone, polyvinyl alcohols, copolymers of vinyl acetate and vinylpyrrolidone, polyethylene glycols, benzyl alcohol, mannitol, glycerol, sorbitol, polyoxyethylenated sorbitan esters; lecithin, sodium carboxymethylcellulose, and acrylic derivatives, or a mixture of these crystallization inhibitors.

Especially preferred are spot-on formulations described above wherein both compounds of formula I and a macrocyclic lactone antihelmintic or antiparasitic agent are present. Especially more preferred are more composition wherein the ring formed by the divalent alkylene radical representing R₅ and R₆ and the nitrogen atom to which R₅ and R₆ are attached has 5, 6 or 7 members or wherein R₁ is CN, R₃ is C₁-C₆-haloalkyl, R₄ is NH₂, R₁₁ and R₁₂ are, independently of one another, hydrogen or halogen and R₁₃ is C₁-C₆-haloalkyl.

Most especially preferred are spot-on compositions, wherein the composition comprises:

(A) 1-[2,6-Cl₂-4-CF₃ phenyl]-3-CN-4-[SO-CF₃]-5-NH₂ pyrazole; and

(B) ivermectin and milbemectin; or

where the composition comprises

(A) 1-[2,6-Cl₂-4-CF₃ phenyl]-3-CN-4-[SO-CF₃]-5-NH₂ pyrazole; and

(B) selamectin,

The phenylpyrazoles (“compound A”) as a class are known in the art and are described, for example, in copending applications U.S. Ser. Nos. 07/719,942; 08/933,016; 09/174,598; 08/863,182; and 08/863,692, as well as in U.S. Pat. No. 5,576,429; U.S. Pat. No. 5,122,530, and EP 295 177, the disclosures of which, as well as the references cited herein, are incorporated by reference. This class of insecticides is known to possess excellent activity against insects. such as ticks and fleas.

The macrocyclic lactone antihelmintic or parasitic agents (“compound B”) are well known to a person skilled in the art and are easily obtained either commercially or through techniques know in the art. Reference is made to the widely available technical and commercial literature. For avermectins, ivermectin and abamectin, reference may be made, for example, to the work “Ivermectin and Abamectin”, 1989, by M. H. Fischer and H. Mrozik, William C. Campbell, published by Springer Verlag., or Albers-Schönberg et al. (1981), “Avermectins Structure Determination”, J. Am. Chem. Soc., 103, 4216-4221. For doramectin, “Veterinary Parasitology”, vol. 49, No. 1, July 1993, 5-15 may in particular be consulted. For milbemycins, reference may be made, inter alia, to Davies H. G. et al., 1986, “Avermectins and Milbemycins”, Nat. Prod. Rep., 3, 87-121, Mrozik H. et al., 1983, Synthesis of Milbemycins from Avermectins, Tetrahedron Lett., 24, 5333-5336, U.S. Pat. No. 4,134,973 and EP 677,054.

Compounds (B) are either natural products or are semi-synthetic derivatives thereof. The structure of at least certain compounds (B) are closely related, e.g., by sharing a complex 16-membered macrocyclic lactone ring. The natural product avermectins are disclosed in U.S. Pat. No. 4,310,519 to Albers-Schönberg, et al., and the 22,23-dihydro avermectin compounds are disclosed in Chabala, et al., U.S. Pat. No. 4,199,569. Mention is also made of Kitano, U.S. Pat. No. 4,468,390, Beuvry et al., U.S. Pat. No. 5,824,653, European Patent Application 0 007 812 A1, published Jun. 2, 1980, U.K. Patent Specification 1 390 336, published Apr. 9, 1975, European Patent Application 0 002 916 A2, and Ancare New Zealand Patent No. 237 086, inter alia. Naturally occurring milbemycins are described in Aoki et al., U.S. Pat. No. 3,950,360 as well as in the various references cited in “The Merck Index” 12^(th) ed., S. Budavari, Ed., Merck & Co., Inc. Whitehouse Station, N.J. (1996). Semisynthetic derivatives of these classes of compounds are well known in the art and are described, for example, in U.S. Pat. No. 5,077,308, U.S. Pat. No. 4,859,657, U.S. Pat. No. 4,963,582, U.S. Pat. 4,855,317, U.S. Pat. No. 4,871,719, U.S. Pat. No. 4,874,749, U.S. Pat. No. 4,427,663, U.S. Pat. No. 4,310,519, U.S. Pat. No. 4,199,569, U.S. Pat. No. 5,055,596, U.S. Pat. No. 4,973,711, U.S. Pat. No. 4,978,677, U.S. Pat. No. 4,920,148 and EP 667,054.

Particularly preferred macrocyclic lactones are avermectin derivatives which are monosaccharides and have a 5-oxime substituent. Particularly preferred derivatives are:

wherein the broken line at the 22-23 position represents an optional bond, R¹, when present, is a hydrogen or a hydroxyl group, R² is, for example, alkyl or cycloalkyl group and R³ is, for example, hydrogen or alkyl. An especially preferred compound of this general structure is selamectin which has the following structure:

These compounds are known in the art and are described for example in EP 667,054.

The alkyl radicals of the definition of the compounds (A) of the formula (I) generally comprise from 1 to 6 carbon atoms. The ring formed by the divalent alkylene radical representing R₅ and R₆ and the nitrogen atom to which R₅ and R₆ are attached is generally a 5-, 6- or 7-membered ring.

A preferred class of compounds (A) of formula (I) comprises the compounds such that R₁ is CN, R₃ is haloalkyl, R₄ is NH₂, R₁₁ and R₁₂ are, independently of one another, a halogen atom and R₁₃ is haloalkyl. Preferably still, X is C—R₁₂. A compound of formula (I) which is very particularly preferred in the invention is 1-[2,6-Cl₂-4-CF₃phenyl]-3-CN-4-[SO—CF₃]-5-NH₂ pyrazole or fipronil.

More generally, compounds (A) are pyrazoles such as phenylpyrazoles and N-arylpyrazoles, and reference is made to, for example, U.S. Pat. No. 5,567,429, U.S. Pat. No. 5,122,530, EP 295,117, and EP 846,686 A1 (or Banks GB 9,625,045, filed Nov. 30, 1996 also believed to be equivalent to U.S. Ser. No. 309,229, filed Nov. 17, 1997).

Compounds of formula (I) can be prepared according to one or other of the processes described in Patent Applications WO 87/3781, 93/6089 and 94/21606 or European Patent Application 295,117 or any other process coming within the competence of a person skilled in the art who is an expert in chemical synthesis. For the chemical preparation of the products of the invention, a person skilled in the art is regarded as having at his disposal, inter alia, the entire contents of “Chemical Abstracts” and of the documents which are cited therein.

Administration of the inventive formulation may be intermittent in time and may be administered daily, weekly, biweekly, monthly, bimonthly, quarterly, or even for longer durations of time. The time period between treatments depends upon factors such as the parasite(s) being treated, the degree of infestation, the type of mammal or bird and the environment where it resides. It is well within the skill level of the practitioner to determine a specific administration period for a particular situation. This invention contemplates a method for permanently combating a parasite in an environment in which the animal is subjected to strong parasitic pressure where the administration is at a frequency far below a daily administration in this case. For example, it is preferable for the treatment according to the invention to be carried out monthly on dogs and on cats.

Spot-on formulations may be prepared by dissolving the active ingredients into the pharmaceutically or veterinary acceptable vehicle. Alternatively, the spot-on formulation can be prepared by encapsulation of the to leave a residue of the therapeutic agent on the surface of the animal. These formulations will vary with regard to the weight of the therapeutic agent in the combination depending on the species of host animal to be treated, the severity and type of infection and the body weight of the host. The compounds may be administered continuously, particularly for prophylaxis, by known methods. Generally, a dose of from about 0.001 to about 10 mg per kg of body weight given as a single dose or in divided doses for a period of from 1 to 5 days will be satisfactory but, of course, there can be instance where higher or lower dosage ranges are indicated and such are within the scope of this invention. It is well within the routine skill of the practitioner to determine a particular dosing regimen for a specific host and parasite.

Preferably, a single formulation containing the compounds (A) and (B) in a substantially liquid carrier and in a form which makes possible a single application, or an application repeated a small number of times, will be administered to the animal over a highly localized region of the animal, preferably between the two shoulders. Remarkably, it has been discovered that such a formulation is highly effective against both the targeted ectoparasites and the targeted endoparasites.

The treatment is preferably carried out so as to administer to the host, on a single occasion, a dose containing between about 0.001 and about 100 mg/kg of derivative (A) and containing between about 0.1 and about 1000 μg/kg of compound of type (B), in particular in the case of a direct topical administration.

The amount of compound (A) for birds and animals which are small in size is preferably greater than about 0.01 mg and in a particularly preferred way between about 1 and about 50 mg/kg of weight of animal.

It also may be preferable to use controlled-release formulations. However, due to the persistence of the activity of fipronil and of compounds (B), it may be preferable for reasons of simplicity to use conventional vehicles.

This invention also provides for a method for cleaning the coats and the skin of animals by removal of the parasites which are present and of their waste and excreta. The animals treated thus exhibit a coat which is more pleasing to the eye and more pleasant to the touch.

While not wishing to be bound by theory, it is believed that the invention spot-on formulation work by the dose dissolving in the natural oils of the host's skin, fur or feathers. From there, the therapeutic agent(s) distribute around the host's body through the sebaceous glands of the skin. The therapeutic agent also remains in the sebaceous glands. Thus, the glands provide a natural reservoir for the therapeutic agent which allows for the agent to be drained back out to the follicles to reapply itself to the skin and hair. This, in turn, provides for longer time periods between application as well as not having to re-administer the dose after the host becomes wet because of rain, bathes, etc. Moreover, the inventive formulation have the further advantage in self-grooming animals of not being directly deposited of the skin or fur where the animals could orally ingest the therapeutic agent, thereby becoming sick or possibly interacting with other therapeutic agent being orally administered.

The invention also relates to such a method with a therapeutic aim intended for the treatment and prevention of parasitoses having pathogenic consequences.

In another preferred embodiment this provides for a composition for combating fleas in small mammals, in particular dogs and cats, characterized in that it contains at least one compound (A) of formula (I) as defined above and at least one endectocidal compound (B), in amounts and proportions having a parasitical effectiveness for fleas and worms, in a vehicle acceptable for the animal.

The preferred class of compounds of formula (I) is that which has been defined above.

A compound of formula (I) which is very particularly preferred in the invention is 1-[2,6-Cl₂-4-CF₃ phenyl]-3-CN-4-[SO—CF₃]-5-NH₂ pyrazole.

Among the compounds of type (B), for small animals, a compound selected from the group formed by ivermectin, selamectin and milbemectin is especially preferred.

The effective amount in a dose is, for the compound (A), preferably between about 0.001, preferentially about 0.1, and about 100 mg and in a particularly preferred way from about 1 to about 50 mg/kg of weight of animal, the higher amounts being provided for very prolonged release in or on the body of the animal.

The effective amount of compounds (B) in a dose is preferably between about 0.1 μg, preferentially about 1 μg, and about 10 mg and in a particularly preferred way from about 5 to about 200 μg/kg of weight of animal. Especially preferred is a dose between about 0.1 to about 10 mg/kg of weight of animal, with about 6 mg/kg being most especially preferred.

The proportions, by weight, of compound (A) and of compound (B) are preferably between about 5/1 and about 0.000/1.

The formulations of the present invention provide for the topical administration of a concentrated solution, suspension, microemulsion or emulsion for intermittent application to a spot on the animal, generally between the two shoulders (solution of spot-on type). It has been discovered that the inventive formulations are especially active against parasites when the formulations are applied to mammals and birds, especially poultry, dogs, cats, sheep, pigs, cattle and horses. These formulations comprise a composition of an effective amount of compound A and/or compound B dissolved in a pharmaceutical or veterinary acceptable carrier vehicle where a crystallization inhibitor is optionally present. Compound of (A) can advantageously be present in this formulation in a proportion of about 1 to about 20%, preferably of about 5 to about 15% (percentages as weight by volume=W/V). The liquid carrier vehicle comprises a pharmaceutically or veterinary acceptable organic solvent and optionally an organic cosolvent.

The organic solvent for the liquid carrier vehicle will preferably have a dielectric constant of between about 10 and about 35, preferably between about 20 and about 30, the content of this solvent in the overall composition preferably representing the remainder to 100% of the composition. It is well within the skill level of the practitioner to select a suitable solvent on the basis of these parameters.

The organic cosolvent for the liquid carrier vehicle will preferably have a boiling point of less than about 100° C., preferably of less than about 80° C., and will have a dielectric constant of between about 10 and about 40, preferably between about 20 and about 30; this cosolvent can advantageously be present in the composition according to a weight/weight (W/W) ratio with respect to the solvent of between about {fraction (1/15)} and about ½; the cosolvent is volatile in order to act in particular as drying promoter and is miscible with water and/or with the solvent. Again, it is well within the skill level of the practitioner to select a suitable solvent on the basis of these parameters.

The organic solvent for the liquid carrier includes the commonly acceptable organic solvents known in the formulation art. These solvents may be found, for example, in Remington Pharmaceutical Science, 16^(th) Edition (1986). These solvents include, for example, acetone, ethyl acetate, methanol, ethanol, isopropanol, dimethylformamide, dichloromethane or diethylene glycol monoethyl ether (Transcutol). These solvents can be supplemented by various excipients according to the nature of the desired phases, such as C₈-C₁₀ caprylic/capric triglyceride (Estasan or Miglyol 812), oleic acid or propylene glycol.

The liquid carrier may also comprise a microemulsion. Microemulsions are also well suited as the liquid carrier vehicle. Microemulsions are quaternary systems comprising an aqueous phase, an oily phase, a surfactant and a cosurfactant. They are translucent and isotropic liquids.

Microemulsions are composed of stable dispersions of microdroplets of the aqueous phase in the oily phase or conversely of microdroplets of the oily phase in the aqueous phase. The size of these microdroplets is less than 200 nm (1000 to 100,000 nm for emulsions). The interfacial film is composed of an alternation of surface-active (SA) and co-surface-active (Co-SA) molecules which, by lowering the interfacial tension, allows the microemulsion to be formed spontaneously.

The oily phase can in particular be formed from mineral or vegetable oils, from unsaturated polyglycosylated glycerides or from triglycerides, or alternatively from mixtures of such compounds. The oily phase preferably comprises triglycerides and more preferably medium-chain triglycerides, for example C₈-C₁₀ caprylic/capric triglyceride. The oily phase will represent, in particular, from about 2 to about 15%, more particularly from about 7 to about 10%, preferably from about 8 to about 9%, V/V of the microemulsion.

The aqueous phase includes, for example water or glycol derivatives, such as propylene glycol, glycol ethers, polyethylene glycols or glycerol. Propylene glycol, diethylene glycol monoethyl ether and dipropylene glycol monoethyl ether are especially preferred. Generally, the aqueous phase will represent a proportion from about 1 to about 4% V/V in the microemulsion.

Surfactants for the microemulsion include diethylene glycol monoethyl ether, dipropyelene glycol monomethyl ether, polyglycolysed C₈-C₁₀ glycerides or polyglyceryl-6 dioleate. In addition to these surfactants, the cosurfactants include short-chain alcohols, such as ethanol and propanol.

Some compounds are common to the three components discussed above, i.e., aqueous phase, surfactant and cosurfactant. However, it is well within the skill level of the practitioner to use different compounds for each component of the same formulation.

The cosurfactant to surfactant ratio will preferably be from about {fraction (1/7)} to about ½. There will preferably be from about 25 to about 75% V/V of surfactant and from about 10 to about 55% V/V of cosurfactant in the microemulsion.

Likewise, the co-solvents are also well known to a practitioner in the formulation art. Preferred co-solvents are those which is a promoter of drying and include, for example, absolute ethanol, isopropanol (2-propanol) or methanol.

The crystallization inhibitor can in particular be present in a proportion of about 1 to about 20% (W/v), preferably of about 5 to about 15%. The inhibitor preferably corresponds to the test in which 0.3 ml of a solution comprising 10% (W/v) of the compound of formula (I) in the liquid carrier and 10% of the inhibitor are deposited on a glass slide at 20° C. and allowed to stand for 24 hours. The slide is then observed with the naked eye. Acceptable inhibitors are those whose addition provides for few or no crystals, and in particular less than 10 crystals, preferably 0 crystals.

Although this is not preferred, the formulation can optionally comprise water, in particular in a proportion of 0 to about 30% (volume by volume V/V), in particular of 0 to about 5%.

The formulation can also comprise an antioxidizing agent intended to inhibit oxidation in air, this agent being in particular present in a proportion of about 0.005 to about 1% (W/V), preferably of about 0.01 to about 0.05%.

Crystallization inhibitors which can be used in the invention include:

polyvinylpyrrolidone, polyvinyl alcohols, copolymers of vinyl acetate and of vinylpyrrolidone, polyethylene glycols, benzyl alcohol, mannitol, glycerol, sorbitol or polyoxyethylenated esters of sorbitan; lecithin or sodium carboxymethylcellulose; or acrylic derivatives, such as methacrylates and others,

anionic surfactants, such as alkaline stearates, in particular sodium, potassium or ammonium stearate; calcium stearate or triethanolamine stearate; sodium abietate; alkyl sulphates, in particular sodium lauryl sulphate and sodium cetyl sulphate; sodium dodecylbenzenesulphonate or sodium dioctyl sulphosuccinate; or fatty acids, in particular those derived from coconut oil,

cationic surfactants, such as water-soluble quaternary ammonium salts of formula N⁺R′R″R′″R″″Y⁻, in which the R radicals are identical or different optionally hydroxylated hydrocarbon radicals and Y⁻ is an anion of a strong acid, such as halide, sulphate and sulphonate anions; cetyltrimethylammonium bromide is one of the cationic surfactants which can be used,

amine salts of formula N+R′R″R′″, in which the R radicals are identical or different optionally hydroxylated hydrocarbon radicals; octadecylamine hydrochloride is one of the cationic surfactants which can be used,

non-ionic surfactants, such as optionally polyoxyethylenated esters of sorbitan, in particular Polysorbate 80, or polyoxyethylenated alkyl ethers; polyethylene glycol stearate, polyoxyethylenated derivatives of castor oil, polyglycerol esters, polyoxyethylenated fatty alcohols, polyoxyethylenated fatty acids or copolymers of ethylene oxide and of propylene oxide,

amphoteric surfactants, such as substituted lauryl compounds of betaine,

or preferably a mixture of at least two of the compounds listed above.

In a particularly preferred embodiment, a crystallization inhibitor pair will be used. Such pairs include, for example, the combination of a film-forming agent of polymeric type and of a surface-active agent. These agents will be selected in particular from the compounds mentioned above as crystallization inhibitor.

Particularly preferred film-forming agents of polymeric type include:

the various grades of polyvinylpyrrolidone,

polyvinyl alcohols, and

copolymers of vinyl acetate and of vinylpyrrolidone.

Especially preferred surface-active agents, include those made of non-ionic surfactants, preferably polyoxyethylenated esters of sorbitan and in particular the various grades of polysorbate, for example Polysorbate 80.

The film-forming agent and the surface-active agent can in particular be incorporated in similar or identical amounts within the limit of the total amounts of crystallization inhibitor mentioned elsewhere.

The pair thus constituted secures, in a noteworthy way, the objectives of absence of crystallization on the coat and of maintenance of the cosmetic appearance of the fur, that is to say without a tendency towards sticking or towards a sticky appearance, despite the high concentration of active material.

Particularly preferred antioxidizing agents are those conventional in the art and include, for example, butylated hydroxyanisole, butylated hydroxytoluene, ascorbic acid, sodium metabisulphite, propyl gallate, sodium thiosulphate or a mixture of not more than two of them.

The formulation adjuvants discussed above are well known to the practitioner in this art and may be obtained commercially or through known techniques. These concentrated compositions are generally prepared by simple mixing of the constituents as defined above; advantageously, the starting point is to mix the active material in the main solvent and then the other ingredients or adjuvants are added.

The volume applied can be of the order of about 0.3 to about 1 ml, preferably of the order of about 0.5 ml, for cats and of the order of about 0.3 to about 3 ml for dogs, depending on the weight of the animal.

An especially preferred compound (A) is a derivative of formula (II):

The formulations according to the invention are extremely effective for long durations of time in the treatment of parasites such as fleas of mammals and, in particular, of small mammals such as dogs and cats. The inventive formulations exhibit a degree of effectiveness against other parasitic insects and in particular ticks and flies. Moreover, the inventive formulations are also extremely effective for a long duration in the treatment of endoparasites, such as the dirofilariasis parasite and/or roundworms. The inventive formulations further exhibit synergy when treating infestations cause by ectoparasites and endoparasites. A particularly preferred synergistic formulation for the treatment of filariae and roundworms comprises fipronil and milbemectin or fipronil and selamectin.

This invention also provides for the use of at least one compound of formula (I) and of at least one compound of type (B), as defined above, in the preparation of a composition as defined above.

Other advantages and characteristics of the invention will become apparent on reading the following description, given by way of non-limiting examples.

EXAMPLES Example 1 Preparation of a Concentrated Solution for Intermittent Application (Spot-on)

A concentrated solution for cutaneous application is prepared which contains, as weight by volume of solution, 10% of fipronil and 0.25% of ivermectin. The administration volume is 1 ml per 10 kg of animal weight. The composition is as follows, as weight/volume:

fipronil: 10%

ivermectin 0.25%

Polyvinylpyrrolidone (Kollidon 17 PF): 5%

Polysorbate 80 (Tween 80): 5%

ethanol: 10%

Transcutol: q.s. for 100%

Example 2 Preparation of a Concentrated Microemulsion for Intermittent Application (Spot-on)

The ingredients used are as follows:

oily phase: C₈-C₁₀ caprylic/capric triglyceride (Estasan)

aqueous phase: propylene glycol

surfactant: diethylene glycol monoethyl ether (Transcutol)

cosurfactant: ethanol or 2-propanol

crystallization inhibitor pair: Polysorbate 80 (Tween 80) and polyvinylpyrrolidone (Kollidon 17 PF).

A composition example contains:

fipronil: log

ivermectin: 0.5 g

Estasan: 8.5 ml

Transcutol: 60 ml

ethanol: 15 ml

Kollidon 17 PF: 5 g

Tween 80: 5 g

propylene glycol: q.s. for 100 ml.

In the formulation described, the Transcutol acts as the surfactant (SA) and the ethanol or 2-propanol acts as cosurfactant (Co-SA). They make it possible to obtain, from a mixture of medium-chain triglycerides (Estasan) which is immiscible with propylene glycol, an isotropic transparent microemulsion. The crystallization inhibitor pair will be added once the microemulsion has been formed.

Example 3

Five dogs weighing 12 kg, deprived of food, receive the application of 1 ml of composition according to Example 2 or 3, i.e. 100 mg of fipronil and 2.5 mg of ivermectin, by localized cutaneous application between the two shoulders. The measurements carried out on the plasma of the animals show the production of an ivermectin peak of 1000 to 1500 to 2000 pg/ml.

A monthly or even bimonthly treatment of dogs makes possible complete control of fleas, ticks and dirofilariasis parasites.

Example 4 Plasma Kinetics of Ivermectin After Oral Administration of Cardomec® at the Dose of 6 μg.kg⁻¹ to Dogs

This example was conducted in order to demonstrate the pharmacokinetics of ivermectin in the dog after oral administration of Cardomec® at a dose of 6 μg.kg⁻¹ of ivermectin which is known to be 100% effective on heartworms and to have a route of reference for further development.

Five male Beagle dogs received a dose of approximately 6 μg.kg⁻¹ of ivermectin, i.e., one 68 μg Cardomec® tablet per dog. The animals were fasted prior to administration and up to 6 hours after treatment to prevent a possible interaction with food.

Blood samples were collected at intervals up to 28 days post-dosing. The determination of ivermectin in dog plasma was carried out by HPLC using fluorescence detection after derivatization. The limit of quantification was 100 pg.ml⁻¹.

Ivermectin could be quantified in dog plasma up to day 1 or 7, depending on the dog (Table 1). The profiles were very variable, presenting a first order absorption with one or two peaks and a biexponential depletion.

The pharmacokinetic parameters were very variable (Tables 2 and 3). C_(max) ranged between 422 and 2964 pg.ml⁻¹, t_(max) between 3 and 12 h, AUC between 9164 and 90938 pg.h.ml⁻¹. The ratio between the highest and smallest C_(max) was 7, the differences even more striking for AUC_((0-t)) and AUC with ratios of 17 and 10 respectively. Compared with the other parameters, the terminal half-lives (t½) were relatively similar between animals (CV<40%), ranging between 26.0 and 64.5 h, i.e. 1.08 day and 2.69 days. The mean value of the terminal half-life was 40.1 h (1.67 d).

The mean pharmacokinetic parameters determined from the present study are in good agreement with the literature: 3 h for t_(max) compared with the literature data of 2-4 hours, t½=1.67 d against 1.6 to 1.8 d in the literature. C_(max) and AUC only were low with values of 1362 pg.ml⁻¹ and 44604 pg.h.ml ⁻¹ versus mean literature values of more than 2000 pg. ml⁻¹ and 107318 pg.h.ml⁻¹⁻, respectively. This experiment was conducted on fasted animals. Some prior articles mentioned a possible interaction of ivermectin with food, without the food state of the dogs being specified. It is possible that they were unfasted and that food interacts positively with ivermectin absorption, i.e., increases the rate and extent of absorption of ivermectin and therefore leads to higher C_(max) and AUD than in the present experiment.

Two conclusions can be drawn from this study: the inter-animal variability is an important feature and the terminal half-lives are relatively constant (around 2 days).

TABLE 1 Plasma concentrations (pg · ml⁻¹) of ivermectin after oral administration of Cardomec ® at a dose of 6 μg · kg⁻¹ to 5 dogs TIME DOG No (hours or days) 1F1A1E7C2D 1F1C36335C 1F10114977 1F1364303A 1F117A282E Mean SD 0 h BLQ BLQ BLQ BLQ BLQ BLQ NC 0.75 h BLQ 197 BLQ 400 BLQ 119 179 1.5 h 228 594 BLQ 1856 BLQ 536 777 2 h 1132 674 BLQ 1817 264 777 722 3 h 2964 629 108 1871 422 1199 1192 4 h 2554 475 143 1955 363 1098 1083 6 h 2238 462 219 1584 277 956 906 8 h 1499 416 327 1379 226 769 616 10 h 1379 758 534 1136 183 798 475 12 h 1374 911 557 902 170 783 449 24 h 875 626 347 650 125 525 292 32 h 612 429 214 434 BLQ 338 236 D 2 463 362 195 320 ND 268 178 D 3 334 201 126 202 ND 173 122 D 4 264 133 BLQ 141 ND 108 111 D 5 200 BLQ ND BLQ ND  BLQ* NC D 7 140 BLQ ND BLQ ND  BLQ* NC D 9 BLQ BLQ ND BLQ ND BLQ NC D 14 BLQ BLQ ND BLQ ND BLQ NC D 21 BLQ ND ND ND ND BLQ NC NC: Not Calculated BLQ: Below the Limit of Quantification (100 pg · ml⁻¹) *one value above the limit of quantification ND: Not Determined. In view of the last point analysed, would be BLQ. Included as BLQ in the calculations. A value of 0 was taken to represent BLQ in the calculations if at least 2 values were above the limit of quantification.

TABLE 2 Mean pharmacokinetic parameters of ivermectin after oral administration of Cardomec ® at a dose of 6 μg.kg⁻¹ to 5 dogs AUC(0-t) AUC(0-∞) C_(max) t_(max) t½ t½ (pg. (pg. (pg.ml⁻¹) (h) (h) (d) d.ml⁻¹) d.ml⁻¹) Mean 1362 6.80 40.1 1.67 1534 1859 SD 1079 4.76 14.5 0.61 1177 1302 Range [422- [3-12] [26.0- [1.08- [187- [382- 2964] 64.5] 2.69] 3246] 3789] CV (%) 79.2 70.1 36.2 36.2 76.8 70.1

TABLE 3 Individual pharmacokinetic parameters of ivermectin after oral administration of Cardomec ® at a dose of 6 μg.kg⁻¹ to 5 dogs 1F1- 1FC36- 1F136- Dog No A1E7C2 335C 1F10114977 4303A 1F117A282 C_(max) 2964 911 557 1955 422 (pg.ml⁻¹) t_(max) 3 12 12 4 3 (h) t½ 64.5 33.5 37.5 39.2 26.0 (h) t½ 2.69 1.40 1.56 1.63 1.08 (d) AUC(0-t) 3246 1545 743 1949 187 (pg.d.ml⁻¹) (AUC(0-∞) 3789 1813 1027 2282 382 (pg.d.ml⁻¹)

Example 5 Plasma Kinetics of Ivermectin After Subcutaneous Injection of Ivomec® at a Dose of 400 μg.kg⁻¹ to Dogs

This study was conducted in order to assess the pharmacokinetics of ivermectin in the dog after subcutaneous administration of Ivomec® at a dose of 400 μg.kg⁻¹ of ivermectin which is known to be effective on gastrointestinal nematodes and to have a route of reference for further development.

Five male Beagle dogs were injected a subcutaneous dose of 400 μg/kg⁻¹ of ivermectin. Blood samples were collected at intervals up to 56 days post-dosing. The determination of ivermectin in dog plasma was carried out by HPLC, using fluorescence detection after derivatization. The limit of quantification was 100 pg.ml⁻¹.

Ivermectin was detectable in dog plasma up to day 21 or 28, depending on the dog (Table 4).

The pharmacokinetic parameters were fairly similar from one animal to the other (Tables 5 and 6). C_(max) ranged from 24875 to 41257 pg/ml⁻¹ with a mean at 28935 pg.ml⁻¹, t_(max) between 2 and 4 days, AUC between 161690 and 294236 pg.d.ml⁻¹. The terminal half-lives (t½) ranged from 2.3 to 3.2 days. The mean value of the terminal half-life was 2.9 days.

It can be concluded from this study that after subcutaneous injection of ivermectin to dogs, the pharmacokinetic behavior can be described by a slow (3 days) but extensive (C_(max)-30000 pg.ml⁻¹) absorption process. As could be expected with such a drug, the half-life of elimination was long (around 3 days) with ivermectin concentrations still detectable up to 28 days post-treatment.

The kinetic profile of ivermectin to achieve an effective control of gastro-intestinal nematodes was also established.

TABLE 4 Plasma concentrations (pg · ml⁻¹) of ivermectin after subcutaneous administration of Ivomec ® at a dose of 400 μg · kg⁻¹ to 5 dogs TIME DOG No. (hours or days) 1F6964583C 1F496B1419 F6D1B4E0B 1F421F1B65 1F42635864 Mean SD 0 BLQ BLQ BLQ BLQ BLQ BLQ — 0.25 h 275 BLQ 158 1123 BLQ 311 468 0.5 h 531 BLQ 183 1757 BLQ 494 738 1 h 952 BLQ 272 1487 257 594 611 4 h 3148 935 2519 2788 1621 2202 906 10 h 9438 2799 7471 6881 2322 5782 3094 24 h 19192 9322 25996 13986 7730 15245 7488 32 h 21779 11651 28569 18632 11810 18488 7138 48 h 26256 18359 33716 27200 21450 25396 5880 56 h 23243 18913 33887 20868 22925 23967 5813 D 3 23145 23181 38453 22367 25089 26447 6786 D 4 19498 24875 41257 22550 24955 26627 8476 D 5 13068 21883 28398 21501 21333 21237 5443 D 7 10892 17800 21415 15434 15695 16247 3833 D 9 5662 12098 11892 10889 12769 10662 2875 D 14 1924 5269 4248 5752 6285 4696 1721 D 21 162 1034 625 746 903 694 335 D 28 BLQ 190 BLQ 108 119 BLQ — D 35 BLQ BLQ BLQ BLQ BLQ BLQ — —: a value af 0 was taken to represent BLQ in the calculations

TABLE 5 Mean pharmacokinetic parameters of ivermectin after subcutaneous administration of Ivomec ® at a dose of 400 μg.kg⁻¹ 1 to 5 dogs C_(max) t_(max) t½ AUC(0-t) (AUC(0-∞) (pg.ml⁻¹) (d) (d) (pg.d.ml⁻¹) (pg.d.ml⁻¹) Mean 28935 3.2 2.86 226900 227897 SD  6950 0.84 0.31  46209  46926 Range [24875- [2-4] [2.35-3.21] [161141- [161690- 41257] 291636] 294236]

TABLE 6 Individual pharmacokinetic parameters of ivermectin after subcutaneous administration of Ivomec ® at a dose of 400 pg.kg⁻¹ to 5 dogs 1F6- 1F496- 1F6- 1F421- Dog No 964583C B1419 D1B4E0B F1B65 1F42635864 C_(max) 26256 24875 41257 27200 25089 (pg.ml⁻¹) t_(max) 2 4 4 2 3 (d) t½ 2.35 3.21 2.88 2.91 2.94 (d) AUC(0-t) 161141 224572 291636 225830 231319 (pg.d.ml⁻¹) (AUC(0-∞) 161690 225452 294236 226283 231824 (pg.d.ml⁻¹)

Example 6 Plasma Kinetics of Ivermectin After a Topical (Spot-on) Application of Ivermectin at a Dose of 250 μg.kg in Combination with Fipronil to Dogs

This study was undertaken in order to assess the pharmacokinetic behaviour of ivermectin and fipronil after a topical (spot-on) application of ivermectin in combination with fipronil to the dog.

Five male Beagle dogs were applied a spot-on formulation combining ivermectin and fipronil at a dose of 0.1 ml.kg⁻¹, i.e. 250 μg.kg and 10 mg.kg of ivermectin and fipronil, respectively. Blood samples were collected at intervals up to 28 days post-treatment. The determination of ivermectin in dog plasma was carried out by HPLC, using fluorescence detection, with a limit of quantification of 100 pg.ml⁻¹. The determination of fipronil and its sulfone metabolite (RM1602) was carried out by HPLC with UV detection with a limit of quantification of 20 ng.ml⁻¹ for fipronil and RM1602.

The formulation tested was as follows:

Ivermectin . . . 0.25 g

Fipronil . . . 10.00 g

Kollidon 17 PF . . . 5.00 g

Ethanol . . . 10.00 ml

Tween 80 . . . 5.00 g

Transcutol . . . qs 100.00 ml

Relatively high plasma levels of ivermectin were detect indicating that some percutaneous absorption occurred. The pharmacokinetic parameters were variable, with C_(max) ranging from 1047 to 2045 pg.ml⁻¹ (2 fold factor) and AUC (0 t) from 7593 to 33557 pg.d.ml⁻¹ (4.5 fold factor). The times of maximum concentrations (t_(max)) of ivermectin in dog plasma were reached between 3 and 9 days after the spot-on application indicating a slow absorption process through the skin. Persistant plasma levels were still detected until 14 or 28 days post-treatment. This could be explained by a slow absorption of ivermectin through the skin and by the storage of ivermectin in fat and its subsequent slow release. The terminal half-lifes were ranging between 3.5 to 12.4 days.

All pharmacokinetic parameters of ivermectin are presented in Table 7 below.

This study showed that ivermectin can cross the skin to some extent, and that fairly high plasma levels of ivermectin can be reached in the dog to control endoparasites after a topical treatment.

TABLE 7 AUC(0-t) AUC(0-∞) C_(max) t_(max) t½ (pg. (pg. T_(last) (pg.ml⁻¹) (d) (d) d.ml⁻¹) d.ml⁻¹) (d) Mean 1618 4.6 5.5* 19218 22842 21 SD  377 2.6 2.4*  9488 13704 4.9 Range [1047- [3-9] [3.5-12.4] [7593- [8219- [14-28] 2045] 33557] 44977] *harmonic mean and standard deviation

Example 7 Plasma Kinetics of Ivermectin After a Topical (Spot-on) Application of Ivermectin at Different Doses (100, 250, 500 and 1000 μ.kg⁻¹) in Combination with Fipronil to Dogs

This study was undertaken in order to assess the linearity of the percutaneous passage of ivermectin after spot-on application of different doses of ivermectin (100, 250, 500 and 1000 μg.kg⁻¹) in combination with fipronil (10 mg.kg⁻¹) to the dog. Furthermore, the possibility of control both heartworms and gastro-intestinal nematodes was evaluated.

Twelve male Beagle dogs (allocated into 4 groups of 3 animals) were applied spot-on formulations combining ivermectin (0.1%, 0.25%, 0.5% and 1%) and fipronil (10%) at a dose rate of 0.1 ml.kg⁻¹ (i.e. 100, 250, 500 and 1000 μg.kg⁻¹ of ivermectin and 10 mg.kg⁻¹ of fipronil).

The formulations are as follows:

TABLE 8 0.1% 0.25% 0.5% 1% solution solution solution solution Batch no. L1003 L1002 L1004 L1005 Composition Ivermectin 0.1 g 0.25 g 0.5 g 1 g Fipronil 10 g 10 g 10 g 10 g Kollidon 5 g 5 g 5 g 5 g Ethanol 10 ml 10 ml 10 ml 10 ml Tween 80 5 g 5 g 5 g 5 g Transcutol qsp 100 ml qsp 100 ml qsp 100 ml qsp 100 ml

The formulations were applied at one spot onto the skin between the shoulder blades.

Blood samples were collected at intervals up to 56 days post treatment. The determination of ivermectin was carried out by HPLC after an automated solid/liquid extraction, using fluorescence detection, with a limit of quantification of 100 pg.ml⁻¹. The determination of fipronil and its sulfone metabolite (RM1602) was carried out by HPLC with UV detection, with a limit of quantification of 20 ng.ml⁻¹ for fipronil and RM1602. Both methods were validated in terms of specificity, extraction recovery, linearity, precision and accuracy.

As expected with such administration route and with the lipophilicity of ivermectin, a high inter individual variability was observed. Despite this variability, the mean pharmacokinetic parameters of ivermectin were approximately proportionnal to the dose.

The mean maximum plasma concentrations (C_(max)) ranged from 136 to 1802 pg.ml⁻¹ for doses of ivermectin between 100 and 1000 μg.kg⁻¹. The times to reach peak plasma concentrations (t^(max)) ranged between 2 and 9 days indicating a slow absorption process through the skin. Ivermectin concentrations were detected in dog plasma until 21 to 35 days post treatment for the dose of 250 μg.kg⁻¹, and until 35 to 42 days for the doses of 500 and 1000 μg.kg⁻¹. The mean half-lives were homogenous for doses between 250 and 1000 μg.kg⁻¹ and ranged from 9.8 to 11.4 days. The mean AUC(O-C_(last) increased proportionally to the dose with values of 7808 pg.d.ml⁻¹ for a dose of 250 μg.kg⁻¹, 17200 pg.d.ml⁻¹ for a dose of 500 μg.kg⁻¹ and 29711 pg.d.ml⁻¹ for a dose of 1000 μg.kg⁻¹.

These results showed that after topical administration, the percutaneous absorption of ivermectin was slow, probably due to its high lipophilicity and its storage in the skin. Its slow release from the application site (skin acting as a reservoir) allowed persistent plasma levels.

This study demonstrated a fairly good linearity of the pharmacokinetic behaviour of ivermectin when topical doses of ivermectin increased. Mean pharmacokinetic parameters were approximately proportional to the dose as shown in Table 9 below:

TABLE 9 Group II Group III Group IV Group I 250 500 1000 100 μg.kg⁻¹ μg.kg⁻¹ μg.kg⁻¹ μg.kg⁻¹ C_(max) Mean 136 508 1064 1802 (pg.ml⁻¹) SD 122 240 595 151 Range [0-235] [250-723] [410-572] [1669- 1966] t_(max) Mean  7 4.5* 5.7 3.3 (d) SD NC NC 2.3 1.5 Range [5-9]  [4-5] [3-7] [2-5] t½ Mean NC 9.8 (#) 11.4 (#) 10.2 (#) (d) SD NC 6.1 (#)  3.2 (#)  3.3 (#) Range NC [6.4- [9.0- [7.6- 35.0] 16.5] 12.2] AUC(0-C_(last)) Mean 382 7808 17200 29711 (pg.d.ml⁻¹) SD 388 2596 7309 11764 Range [0-775] [4949- [9088- [16759- 10019] 23274] 39734] T_(last) Mean  7 28 37 40 (d) SD NC 7 4 4 Range [5-9]  [21-35] [35-42] [35-42] (#) Harmonic mean and standard deviation *aberant value of 21 days not taken into account in the mean calculation NC: not calculated

The plasma concentrations of ivermectin were much lower than those observed in Example 6 where dogs were applied with a same formulation (0.25% of ivermectin and 10% of fipronil) at the same dose of 0.1 ml.kg⁻¹ (i.e. 250 μg.kg⁻¹ of ivermectin and 10 mg.kg⁻¹ of fipronil).

The parameters of absorption (C_(max) and AUC) were significantly different (more than a 2 fold factor) between the two studies. This lower percutaneous absorption was confirmed by the levels of fipronil and RM1602 recovered in plasma Indeed the fipronil and RM1602 plasma concentrations found were significantly inferior to those usually observed in dogs treated at the same dose in previous studies. Both studies were carried out under the same experimental conditions (breed, sex, age, weight, season, temperature and hygrometry). No explanation could be found to justify such difference in the absorption between the two studies except the origin of dogs (Marshall versus Harlan) in Example 6.

Example 8 Plasma Kinetics of ivermectin After a Topical (Spot-on) Application of Ivermectin at a Dose of 250 μg.kg⁻¹ in Combination With Fipronil to Cats

This study was undertaken in order to assess the pharmacokinetic behaviour of ivermectin after a topical (spot-on) application of a formulation containing 0.25% of ivermectin and 10% of fipronil to the cat. The formulation was as follows:

Ivermectin . . . 0.25 g

Fipronil . . . 10.00 g

Kollidon 17 PF . . . 5.00 g

Ethanol. . . 10.00 ml

Tween 80 . . . 5.00 g

Transcutol . . . qs 100.00 ml

Five male european cats were treated with the spot-on formulation at a dose 0. 1 ml.kg⁻¹ (i.e. 250 μg.kg⁻¹ of ivermectin and 10 mg.kg⁻¹ of fipronil).

Blood samples were collected at intervals up to 42 days post-treatment.

The determination of ivermectin in cat plasma was carried out by a validated HPLC method using fluorescence detection, with a limit of quantification of 100 pg.ml⁻¹.

The relatively high ivermectin levels recovered in plasma samples demonstrated a fairly good percutaneous absorption of ivermectin.

As expected with such administration route, an interindividual variability was observed with maximum concentrations (C_(max)) ranging from 911 to 2223 pg.ml⁻¹ and AUC_((0-Clast)) between 12640 and 45638 pg.d.ml⁻¹ (4 fold factor).

The times to reach peak plasma concentrations were relatively long (between 2 and 9 days post-treatment) indicating a slow absorption process through the skin.

Persistent ivermectin plasma levels were still detectable until 21 or 42 days post-treatment. The terminal half-lives were ranging between 5.5 and 13 days with a mean value of 9.1 days.

The mean pharmacological parameters are presented in Table 10.

TABLE 10 Mean pharmacokinetic parameters of ivermectin after a spot-on application of a formulation containing 0.25% of ivermectin and 10% of fipronil at a dose of 0.1 ml.kg⁻¹ (i.e. 250 μg.kg⁻¹ of ivermectin and 10 mg.kg⁻¹ of fipronil) AUC(0- Clast) AUC(0-∞) C_(max) t_(max) t_(½β) (pg. (pg. T_(last) (pg.ml⁻¹) (d) (d) d.ml⁻¹) d.ml⁻¹) (d) Mean 1465 5.60 9.07* 23441 26546 35 SD  538 2.61 3.84* 13101 15161 8.57 Range [911- [2-9] [5.49- [12640- [14199- [21-42] 2223] 13.0] 45638] 52232] *harmonic mean and standard deviation

All these pharmacokinetic parameters were very close to those obtained in a previous study where dogs were treated with the same formulation at the same dose (mean C_(max)=1465 pg.ml⁻¹ versus 1618 pg.ml⁻¹ for dog; mean AUC_((0-Clast))=23441 pg.d.ml⁻¹ versus 19218 pg.d.ml⁻¹ for dog).

However, plasma levels of ivermectin were more persistent in the cat than in the dog with mean half-lives 9.1 days versus 5.5 days for dog. This could be explained by a lower elimination or by an absorption process through the skin much slower in the cat.

So, in conclusion after a topical application of ivermectin to the cat, a fairly good percutaneous absorption could be evidenced with relatively high and persistent ivermectin plasma levels.

These results predict a good clinical efficacy against heartworms after a topical treatment to the cat.

The above description of the invention is intended to be illustrative and not limiting. Various changes or modifications in the embodiments may occur to those skilled in the art. These can be made without departing from the scope and spirit of the invention. 

What is claimed is:
 1. A spot-on formulation for combatting parasites of an animal that consists essentially of a parasiticidally effective amount of a macrocyclic lactone endectocidal parasiticide selected from the group consisting of an avermectin, abamectin and doramectin and a vehicle for a localized cutaneous application to the animal with absorption and a resultant plasma concentration of the parasiticide, wherein the vehicle contains dipropylene glycol monomethyl ether, isopropanol, and optionally an antioxidant.
 2. The spot-on formulation according to claim 1 wherein the antioxidant is present and is butylated hydroxytoluene.
 3. The spot-on formulation according to claim 1 wherein the macrocyclic lactone endectocidal parasiticide is an avermectin.
 4. The spot-on formulation according to claim 1 wherein the macrocyclic lactone endectocidal parasiticide is a doramectin.
 5. The spot-on formulation according to claim 2 wherein the macrocyclic lactone endectocidal parasiticide is an avermectin.
 6. The spot-on formulation according to claim 2 wherein the macrocyclic lactone endectocidal parasiticide is a doramectin.
 7. A method for obtaining a detectable plasma concentration of the macrocyclic lactone parasiticide in a mammal comprising topically applying to a localized area on said mammal a parasiticidally effective amount of the spot-on formulation according to any one of claims 1-6.
 8. The method according to claim 7, wherein the mammal is a cat, dog, horse, cattle or sheep.
 9. A method for combatting parasites on a mammal comprising topically administering to a mammal a parasiticidally effective amount of a spot-on formulation according to any one of claims 1-6.
 10. The method according to claim 9, wherein the mammal is a cat or a dog and the parasite is a flea or tick.
 11. The method according to claim 9, wherein the mammal is cattle and the parasite is Boophilus microplus.
 12. The method according to claim 9, wherein the mammal is sheep and the parasite is lice and blowfly.
 13. The method according to claim 9, wherein the topical administration is bimonthly.
 14. The method according to claim 9, wherein the topical administration is quarterly.
 15. The method according to claim 9, wherein the topical administration is monthly. 